CMS Guidance for Organizations Interested in Offering Capitated Financial Alignment Demonstration Plans

January 25, 2012
Through the Center for Medicare & Medicaid Innovation (the Innovation Center), CMS will test two financial alignment models with States across the country – a capitated approach and a managed fee-for-service approach. The capitated model that will use health plans or other qualified entities for delivery of medical, behavioral health, and long-term services and supports is the subject of the information in this guidance. Under these demonstrations, CMS, the state, and health plans or other qualified entities will enter into a three-way contract. The finalization of each contract will follow a joint plan selection . . .